General Petition Form
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1
2General Petition Form
Name _____________________________________ UCID _____________ Phone _________________
Local Address_____________________________________________ Email_______________________
Number & Street
city, state, zip code
Adviser ___________________________ Year in College ___________ Major _____________________
Petition addressed to _____________________________________________ Date ________________
Note: Requests lacking complete information or explanation will be returned and action will be delayed.
Attach documentation as necessary. See second page for full instructions.
State your question clearly and in full.
Present your case for approval of this petition.
Student’s signature _______________________________________________
Do not write below this line—for office use only
Action Taken: ☐ Approved
☐ Denied
☐ More information needed (see below)
Signature _______________________________________________ Date ________________________
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Parent category: Legal